Medicare Blog

what doctors are on oscar insurnace medicare advantage plan

by Zane Streich Published 2 years ago Updated 1 year ago
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Does Oscar offer Medicare Advantage plans?

Oct 01, 2021 · Keep in mind, the search results automatically use the zip code from your account to give you options closest to you, however, if you ever want to change the location, simply adjust the zip code for results in that area. If you already have a doctor or know who you are going to see, simply search their name to confirm they accept your Oscar ...

What is Oscar h8961-001 Medicare Advantage plan?

Oscar Health Doctors by Specialty Family Doctor Physician Assistant (PA) Nurse Practitioner (NP) Gastroenterologist (Stomach & Bowel Specialist) Physical Therapist (PT) Orthopedic Surgeon Surgeon Dermatologist (Skin Specialist) Counselor Internist Chiropractor Obstetrician / Gynecologist (OBGYN) Pain Medicine Specialist Occupational Therapist (OT)

Where can I find doctors who take Oscar Health Insurance Co insurance?

Apr 09, 2022 · Find Oscar Health Insurance Co. Doctors & Providers with verified reviews. Make an appointment online instantly with Doctors that accept Oscar Health Insurance Co. insurance. ... Choose your insurance to find nearby in-network doctors who accept your plan. Get care anywhere, any time. Book appointments online and see the same great doctors in ...

What benefits do I get with Oscar plus?

Doctors, providers & hospitals in Medicare Advantage Plans. Health Maintenance Organization (HMO) Plans. In HMO Plans, you generally must get your care and services from providers in the plan's network, except: Emergency care. Out-of-area urgent care. Out-of-area dialysis. In some plans, you may be able to go out-of-network for certain services.

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What company has the best Medicare Advantage program?

Kaiser PermanenteList of Medicare Advantage plansCategoryCompanyRatingBest overallKaiser Permanente5.0Most popularAARP/UnitedHealthcare4.2Largest networkBlue Cross Blue Shield4.1Hassle-free prescriptionsHumana4.01 more row•Feb 16, 2022

What is the most popular Medicare Advantage plan?

Best for size of network: UnitedHealthcare Standout feature: UnitedHealthcare offers the largest Medicare Advantage network of all companies, with more than 1 million network care providers. UnitedHealthcare is the largest provider of Medicare Advantage plans and offers plans in nearly three-quarters of U.S. counties.Dec 21, 2021

Is Oscar part of Medicare?

With $0 premiums and no referrals required to see a specialist, Oscar offers Medicare Advantage that just makes sense. Call us at (855) 672-2710 (TTY 711) or request a call from a specialist.

What Montefiore Oscar?

The Montefiore + Oscar Extra Benefits (HMO) plan is designed for those who qualify for Extra Help, also known as Low Income Subsidy (LIS) from the government, which helps lower prescription costs. To find out if you qualify for Extra Help, call us at 1-855-672-2710 (TTY 711).Oct 1, 2021

What is the biggest disadvantage of Medicare Advantage?

The primary advantage is the monthly premium, which is generally lower than Medigap plans. The top disadvantages are that you must use provider networks and the copays can nickel and dime you to death.Dec 12, 2021

What are the negatives of a Medicare Advantage plan?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan; if you decide to switch to Medigap, there often are lifetime penalties.

What is the Part D deductible on all Oscar Easy Care HMO plans?

Drug (Part D) deductible $0 This plan has no deductible. This is the most you will pay for Medicare covered services in copays, coinsurances and other costs.

What is an Oscar number for Medicare?

Call us at 1-855-672-2710 (TTY 711) to find out if our plans are the right fit for you.Oct 1, 2021

How many members does Oscar have?

400,000 membersIn January 2020, TechCrunch reported that Oscar served 400,000 members and expected to bring in $2 billion by the end of the year.

How can I make a same-day appointment with a Primary Care Doctor who takes Oscar Health Insurance Co. insurance?

On average, patients who use Zocdoc can search for a Primary Care Doctor who takes Oscar Health Insurance Co. insurance, book an appointment, and...

How can I find a Primary Care Doctor who takes Oscar Health Insurance Co. insurance?

Zocdoc lets you search specifically for a Primary Care Doctor who takes Oscar Health Insurance Co. insurance. Just choose your carrier and plan...

How can I book an appointment online with an Oscar Health Insurance Co. Primary Care Doctor?

Zocdoc is a free online service that helps patients find Oscar Health Insurance Co. Doctors and book appointments instantly . You can search for O...

How can I find a female Primary Care Doctor who takes Oscar Health Insurance Co. insurance?

When you search for Doctors on Zocdoc, you can filter your results by gender, in addition to other criteria. That way, you’ll only see Doctors wh...

How can I find an Oscar Health Insurance Co. Primary Care Doctor who sees patients after hours?

On Zocdoc, you can search specifically for Oscar Health Insurance Co. Doctors with availability after 5 p.m.

How can I find a top-rated Oscar Health Insurance Co. Primary Care Doctor?

You can use Zocdoc to find Oscar Health Insurance Co. Doctors who are highly rated by other patients. These ratings are based on verified reviews...

How can I find a video visit with a Primary Care Doctor online?

Doctors on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. You can also filter your search res...

Are video visits with a Primary Care Doctor online covered by Oscar Health Insurance Co.?

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors who accept...

How can I find an Oscar Health Insurance Co. Primary Care Doctor who sees patients in the morning or evening?

Zocdoc lets you search specifically for a Primary Care Doctor who has appointments available before 10:00 am, or after 5:00 pm. Just choose the spe...

Who is Omar Saine?

Mr. Omar Saine is a concerned nurse practitioner at Providence Medical Group. He is skilled and experienced in treating various conditions such as hyperactive disorder, migraine, asthma, acid reflux, high blood pressure, and stomach pain. Based in Monroe, WA, Mr. Saine earned his bachelor's degree from the University of Washington. He completed his doctor of nursing practice degree at the University of Washington. He is humbled to have pursued his career in medicine and help patients receive the best form of care. Mr. Saine is committed to helping his patients enjoy a healthier lifestyle. He works with each one to discuss ways they can make better choices for their health.

Who is Donna Lee?

Ms. Donna Lee is a dedicated nurse practitioner. Patients visit her at Providence Medical Group. She earned her master's degree from Gonzaga University. Located in Everett, WA, Ms. Lee sees patients for a host of different illnesses. She believes in listening to each patient and creating a partnership to maintain and improve lifelong health. She sees patients for general consultations, follow-ups, prescriptions, and physical exams. Ms. Lee gives each patient her focused attention, and she prides herself on delivering the best treatment available. Patients trust her expertise because she consistently provides high-quality care that leads to positive and lasting health outcomes.

Where is Anita Uppal?

Anita Uppal is certified by the American Board of Internal Medicine. She earned her medical degree from Dayanand Medical College. Located in Seattle, WA, Dr. Uppal is affiliated with Swedish Medical Center / First Hill Campus, Swedish Medical Center / Cherry Hill Campus, and Swedish Medical Center / Issaquah Campus. She provides treatment plans for a host of conditions. Being bilingual in English and Punjabi, Dr. Uppal caters to patients across different cultural backgrounds. During consultations, she pays attention to every symptom and condition mentioned by the patient and devices the best treatment plan based on these symptoms.

Where is Monika Schlamminger?

At Swedish, in Seattle, WA , Dr. Monika Schlamminger is employed as a primary care doctor. She attended medical school at Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden. Following this, she completed a residency at MultiCare Tacoma Family Medicine. Dr. Schlamminger sees patients for a range of reasons. These include sexually transmitted diseases, birth control/contraception, urinary tract infections, skin screening tests, and general consultations. During appointments, she puts all her work aside to focus solely on her clients. Dr. Schlamminger is certified by the American Board of Family Medicine. She is also an active member of the American Academy of Family Physicians and the Washington State Medical Association. She works tirelessly to provide excellent care to patients of all communities.

Who is Christine Chon?

Dr. Christine Chon is a primary care doctor. Patients primarily visit her for wellness care, preventive medicine, and urgent care consultations. She can also schedule appointments for vaccines and flu shots. Dr. Chon obtained her medical degree from the University of Washington. As a healthcare provider, she strives to stay updated on the latest advancements in the healthcare system. She tries to provide the best, most suitable treatment options to her patients. Practicing in Seattle, WA, Dr. Chon is employed as a specialist at Swedish. She is a renowned expert in her field of medicine. She believes in all her patients and wants what is best for them.

Where is Jill Summerfield?

Practicing at Swedish in Seattle, WA , Dr. Jill Summerfield is a patient and thoughtful primary care doctor. She is also affiliated with Swedish Medical Center / First Hill Campus and Swedish Medical Center / Cherry Hill Campus. She can help treat a range of illnesses and can conduct tests as well as examinations. Dr. Summerfield acquired her medical degree from the University of Washington. After this, she completed a residency at the University of Washington Medical Center. Dr. Summerfield is certified by the American Board of Internal Medicine. She has a way of making everyone feel less anxious during procedures. Patients look forward to spending the years to come with her as their physician.

What is a PPO plan?

Preferred Provider Organization (PPO) Plans. A person or organization that's licensed to give health care. Doctors, nurses, and hospitals are examples of health care providers. , or hospital in PPO Plans. PPO Plans have network doctors, other health care providers, and hospitals.

What is SNP in medical?

Special Needs Plans (SNP) Generally, you must get your care and services from doctors or hospitals in the Medicare SNP network, except: Emergency or urgent care, like care you get for a sudden illness or injury that needs medical care right away. If you have. End-Stage Renal Disease (Esrd)

What is end stage renal disease?

End-Stage Renal Disease (Esrd) Permanent kidney failure that requires a regular course of dialysis or a kidney transplant. and need out-of-area dialysis. Medicare SNPs typically have specialists in the diseases or conditions that affect their members.

Can you go out of network with HMO?

Health Maintenance Organization (HMO) Plans. In some plans, you may be able to go out-of-network for certain services. But, it usually costs less if you get your care from a network provider. This is called an HMO with a point-of-service (POS) option.

How much will Oscar pay for prescription drugs in 2021?

(combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This Oscar plan does offer additional coverage through the gap.

What is the Medicare Advantage Plan for Florida?

Oscar + Holy Cross + Memorial Health (HMO) H8961-001 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Oscar available to residents in Florida. This plan includes additional Medicare prescription drug (Part-D) coverage. The Oscar + Holy Cross + Memorial Health (HMO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $3,400 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $3,400 out of pocket. This can be a extremely nice safety net.

What is HMO formulary?

Oscar + Holy Cross + Memorial Health (HMO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers.

What is the deductible for Oscar and Holy Cross?

Oscar + Holy Cross + Memorial Health (HMO) has a monthly drug premium of $0 and a $0 drug deductible. This Oscar plan offers a $0 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits.

What is a PCP referral?

Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral.

What is HMO in healthcare?

With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services.

Does Oscar have Medicare?

Oscar works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Oscar + Holy Cross + Memorial Health (H MO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Oscar and not Original Medicare.

H8961-001 Part-D Deductible and Premium

Oscar + Holy Cross + Memorial (HMO) has a monthly drug premium of $0.00 and a $0.00 drug deductible. This Oscar plan offers a $0.00 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits.

Oscar Gap Coverage

In 2022 once you and your plan provider have spent $4430 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This Oscar plan does offer additional coverage through the gap.

What is Medicare Advantage Plan?

Medicare Advantage plans are offered by private insurance companies contracted with the Medicare program to provide benefits covered by Part A and Part B (except for hospice care, which is covered under Part A). These private companies look for ways to control health care expenses to help keep costs low for their members.

What are the providers of HMO?

HMO provider networks include doctors and specialists, hospitals, surgical centers, lab and x-ray facilities, and even pharmacies if your plan covers prescription drugs. You must get all care, except emergency treatment, from doctors who accept your Medicare Advantage HMO, or your plan may not pay any of your expenses.

What is a PPO plan?

PPOs let you see any provider or doctor who accepts your Medicare Advantage plan, but you pay a lot less when you use providers in the plan’s preferred provider network. Like HMOs, your plan network will include specialists, hospitals, and other providers you need for your health care needs. Private Fee-for-Service Plans (PFFS).

What is an HMO?

Health Maintenance Organizations (HMOs). Most HMOs require you to get your health care from providers in the plan’s network. You’ll choose a primary care provider (PCP) who will handle all your routine health care and refer you to specialists as needed to treat you.

Can a non-network provider charge for Medicare?

In addition, a doctor who accepts your Medicare Advantage plan must accept your copayment or coinsurance amount as payment in full for your share of your health-care expenses. A non-network provider can charge you whatever their usual rate may be .

Does Medicare Advantage charge a copayment?

Your plan may charge you a lower copayment or coinsurance amount when you use health-care providers who participate in your plan; for example, you may pay a 20% coinsurance amount for in-network providers, but 50% for out-of-network care. In addition, a doctor who accepts your Medicare Advantage plan must accept your copayment or coinsurance amount ...

Can I see a doctor who accepts my Medicare Advantage plan?

If your plan has a provider network, you may want to see doctors who accept your Medicare Advantage plan to avoid paying more for out-of-network providers. Medicare Advantage plans often use different incentives to encourage you to get care from network providers. Your plan may charge you a lower copayment or coinsurance amount when you use ...

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